CAMP MEETING: JULY 20, 2023 - JULY 30, 2023
CAMP SYCHAR
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We are so excited that you will be joining us for these 10 exciting and life changing days! Please make sure that you complete all portions of the application.  Before you complete the registration below please make sure you have read the two documents on the previous page! Camp fee is $110 for all campers.  Please plan to make payment when youth check-in at camp.  Payment can also be mailed to the Youth Program mailing address.  Please note any mailed payments will not be processed until camp begins.

    Male or Female?
    Enter Birth Date
    Girl's dorms are divided into several rooms, so there's an opportunity for roommate selection. -- The Boy's dorm is a barracks style facility without separate rooms.
    Check the box on the dates you plan to stay...

    YOUTH COVENANT

    As a participant in the Camp Sychar Youth Program, I agree to abide by the following expectations and guidelines:
    • I will be responsible for my actions and act in a Christian manner.
    • I will treat all people with respect. I will cause no injury or unhealthy criticism to others or myself.
    • I will treat other people’s property with respect and cause no form of vandalism or destruction to any private or Camp Sychar property.
    • I will not use alcohol, illegal drugs or tobacco. I agree to a NO SMOKING policy.
    • I will follow the dress code and dress appropriately to reflect Christian standards of modesty.
    • I will not leave the Camp Sychar grounds unless I have written permission.
    • I agree to the NO DRIVING and NO RIDING IN A CAR policy while at Camp.
    • I agree to work in harmony with the members of the group by following and participating in the scheduled meetings, activities, and cafeteria assignments.
    • I agree to listen to and adhere to the instructions given by the Youth Leaders.
    • WHILE IN THE YOUTH PROGRAM, I AGREE TO ABIDE BY THE POLICY of YOUTH MAY NOT GO INSIDE CABINS or ANY OTHER NON-YOUTH LODGING, INCLUDING LODGING BELONGING TO PARENTS or RELATIVES.
    • I have read all of the Information Sheets for Youth and agree to abide by them.
    • I agree to have a wonderful week of friends, fellowship, fun and growing in Jesus!!
    You need to agree with the Youth Covenant to attend Camp Sychar Youth Program.

    ​SUPERVISED OFF CAMPUS GROUP ACTIVITIES PERMISSION FORM

    I give permissions for my son / or daughter to participate in the following activities  (Select ALL that apply):


    PARENT AUTHORIZATION AND WAIVER

    I give permission for my child to participate in the full range of activities and recreational events of Camp Sychar. I understand that a private car for transportation will be used only when physically necessary for a youth to be able to attend off-campus activities during camp, or in an emergency. Possible off-campus activities during camp, but not limited to the events listed, will be walking to a nearby nursing home or other site for an outreach program, and some recreational activities at the city park and swimming pool across the street from Camp Sychar.
    ​​I understand that all reasonable safety precautions will be taken by Camp Sychar and its employees and/or agents during camp activities. I further understand the possibility of unforeseen hazards and the inherent possibility of risks involved in the participation of my child in these activities. I agree to not hold Camp Sychar, its leaders, officers, employees, or voluntary staff liable for damages, losses, diseases, illnesses or injuries incurred by the youth subject of this form.
    I understand that my child may be the subject of photographs or videos taken by the camp for publicity purposes and authorize the use of these photographs or videos.
    I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

    This has the full force of a legal signature.

    CAMP SYCHAR NURSES INFORMATION​

    If None, please type None.
    Please be as descriptive as possible.

    If youth takes medications for sleep please keep in mind that the camp schedule can be very hard to keep up with if they are required to take these medications every night. Consider contacting youth’s family doctor to request a written order that these medications may be given as needed instead of every night during camp, it must be in writing.
    Parent and youth must meet with camp nurse upon arrival IF any medication is required. If youth is on prescription medication, youth MUST BE MATURE AND RESPONSIBLE FOR COMING TO THE CLINIC FOR REGULARLY SCHEDULED DOSES AS ORDERED BY PHYSICIAN. Each medication must be in original labeled containers with name of youth and medication, dose, and times, and doctor's name. If dose has been changed from label, youth must have statement from doctor. The nurse is required to keep ALL medications secured. Youth may NOT keep any medications, even over the counter medications with them in the dorms.

    PARENT MEDICAL AUTHORIZATION


    I understand that in the event medical intervention is needed, every attempt will be made to contact me. If I cannot be reached in an emergency, I hereby authorize emergency medical treatment, injection, anesthesia, surgery, or dental care to be given to my son/daughter, as considered advisable or necessary in the judgment of an emergency medical professional or physician.
    I understand that my insurance coverage for my child will be used as primary coverage in the event medical intervention is needed. Coverage by Camp Sychar through its accident policy will be used as secondary coverage.
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